| NPI | 1295963940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HINKLE Executive Director 314-543-5988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208800000X Urology | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-08-13 |